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1740820133
INNOVA PHARMACY III
SACRAMENTO, CA
NPI
1740820133
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Entity Type
Organization
Authorized Contact
TIM THIEN LE
President/CEO
916-220-3344
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2020-01-14
Last Update Date
2020-07-06
Business Address
INNOVA PHARMACY III
2400 GLENDALE LN STE A
SACRAMENTO, CA 95825-2431
Phone number: 916-487-9977
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Mailing Address
INNOVA PHARMACY III
1913 EAGLE GLEN DR
ROSEVILLE, CA 95661-4025
Phone number: 916-220-3344
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